医学
经皮
外科
减压
腰椎间盘突出症
孔
神经根
腰椎
椎间盘切除术
椎间盘切除术
椎间孔
椎间盘移位
腰痛
腰椎
替代医学
病理
作者
Jin-Sung Kim,Gun Choi,Sang-Ho Lee
出处
期刊:Spine
[Ovid Technologies (Wolters Kluwer)]
日期:2011-08-01
卷期号:36 (17): E1173-E1178
被引量:36
标识
DOI:10.1097/brs.0b013e3182264458
摘要
Technical case report.The authors report a new percutaneous endoscopic lumbar discectomy (PELD) technique for the treatment of lumbar disc herniation via a contralateral approach.When there are highly down-migrated lumbar disc herniation along just medial to pedicle and narrow ipsilateral intervertebral foramen, the conventional PELD is not easily accessible via ipsilateral transforaminal route.Five patients manifested gluteal and leg pain because of a soft disc herniation at the L4-L5 level. Transforaminal PELD via a contralateral approach was performed to remove the herniated fragment, achieving complete decompression of the nerve root.The symptom was relieved and the patient was discharged the next day.When a conventional transforaminal PELD is difficult because of some anatomical reasons, PELD via a contralateral route could be a good alternative option in selected cases.
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